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5例心脏直视术后并发胸骨裂开的护理
引用本文:鲍向英,吴伊琼. 5例心脏直视术后并发胸骨裂开的护理[J]. 中华护理杂志, 2010, 45(2). DOI: 10.3761/j.issn.0254-1769.2010.02.005
作者姓名:鲍向英  吴伊琼
作者单位:浙江大学医学院附属第二医院胸心外科,杭州市,310009
摘    要:总结了5例心脏直视术后并发胸骨裂开患者的护理经验。重点是密切观察病情,协助医生及早诊断和处理,维护心功能稳定,做好胸骨后冲洗护理,减少胸骨活动度,监测和控制血糖,同时加强营养支持和卧位与活动的指导,促进胸骨愈合。经积极治疗和护理,4例痊愈,1死亡。

关 键 词:心脏外科手术  胸骨裂开  护理

Nursing care of 5 cases with sternal dehiscence after open-heart operation
Abstract:This paper summarizes the nursing experiences of 5 cases with sternal dehiscence after open-heart operation.The key points in perioperative nursing were close observation of disease process,assisting doctors with diagnosis and treatment early,maintenance of heart function,post-sternotomy washing care,reducing activity degree of sternum,monitoring and controlling blood glucose,strengthening nutritional support,posture and exercise guidance to promote healing of sternum.After active treatment and nursing care,4 neonates recovered and 1 neonate died.
Keywords:Cardiac Surgical Procedures  Sternal Dehiscence  Nursing Care
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